ArticleJournal of multidisciplinary healthcare2026
Predictive Value of Combined MEWS and NIPDS Scores for 24-Hour Clinical Deterioration in Emergency Observation Patients: A Prospective Cohort Study.
Article in Journal of multidisciplinary healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Development and Temporal Validation of a Logistic Regression-Based Risk Score for Identifying Life-Threatening Chest Pain at Emergency Department Triage: A Retrospective Cohort Study.Vascular health and risk management · 2026Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: To investigate the predictive value of the Modified Early Warning Score (MEWS) combined with the Nurse Intuition Patient Deterioration Scale (NIPDS) for 24-hour deterioration among emergency observation patients. Patients and Methods: This single-center prospective cohort study enrolled 2,415 emergency observation patients at a tertiary care hospital in Nanjing between May and December 2025. Patients underwent serial assessments using MEWS and NIPDS at 0, 2, 4, 8, 16, and 24 hours post-admission. The primary outcome was unplanned transfer to the resuscitation room or ICU or death within 24 hours. Receiver operating characteristic (ROC) curve analysis was performed to evaluate the predictive value of MEWS alone and the combined score for 24-hour deterioration. Results: Among the 2,415 patients, 287 (11.9%) experienced unplanned transfer to the resuscitation room or ICU or died within 24 hours. The combined score showed significantly better predictive performance than MEWS alone (AUC=0.859 vs 0.688, Conclusion: The combined MEWS and NIPDS score improves overall risk stratification compared with MEWS alone; however, clinical implementation should consider that the incremental reclassification value was driven primarily by correct down-classification of patients who did not deteriorate, while maintaining comparable sensitivity for those who did.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.